Table 1 Baseline and follow-up measurements

Patient at Care Transitions Measure (PACT — M) [28]

5, 30, and 90 DPD

Assesses patient perceptions of the quality and safety of transitional care. Eight items are scored on a 5-point Likert scale from strongly disagree to strongly agree. Also measured are the incidences (yes or no) of seven adverse events post-discharge and associated details. Total scores range from 0 to 67

EuroQol 5-Dimension Health Questionnaire (5 levels) (EQ-5D-5L) and proxy EQ-5D-5L [29]

Baseline and 5, 30, and 90 DPD

Measures five quality-of-life dimensions which are scored on a 5-point Likert scale from no problems to unable. Scores can be used to generate quality-adjusted life years (QALYs). The measure also includes a visual analogue scale (1–100) to capture patients’ perceptions of their health. Informal carers completed the proxy EQ-5D-5L

Care Transitions Measure 3 items (CTM-3) [30]

5, 30, and 90 DPD

Measures patient perceptions of the quality of care transitions. Three items are scored on a 5-point Likert scale from strongly disagree to strongly agree. The CTM-3 scoring guide transforms scores onto a 0–100 scale

Client Service Receipt Inventory (CSRI ) [31]

5, 30, and 90 DPD

Assesses patients’ use of health-related resources. Questions have been adapted to assess the health resources that are pertinent to care transitions from hospital to home for older people

Utility of the YCNY intervention

5 and 30 DPD

Non-validated questions about the receipt and usefulness of the intervention

Functional Comorbidity Index (FCI) [32]

Baseline

A sum of 18 self-reported comorbid conditions. A total score ranges from 0 to 18 with higher scores indicating greater comorbidity

Barthel index (BI) [33]

Baseline

10 items measuring activities of daily living and mobility. Scores range from 0 to 20, with lower scores indicating increased disability